MAT Clinics in Kentucky: Methadone, Suboxone & Vivitrol Treatment
Find methadone clinics in Kentucky, learn about Suboxone and Vivitrol, and explore payment and telehealth options. The September 2026 federal Medicare OTP file lists 40 locations in 30 Kentucky cities, while the state’s KY HELP line offers treatment-navigation support.
On this page — jump to a section
- Kentucky MAT at a Glance
- Get Help Finding a Clinic
- Find MAT Clinics by City
- Treatment Options by Medication
- Kentucky OTP Rules
- Paying for MAT
- Telehealth MAT
- Overdose and Access
- Areas with Limited Access
- Resources and Helplines
- Special Populations
- Choosing a Clinic
- Frequently Asked Questions
- Sources and Editorial Standards
- Nearby States
Kentucky MAT at a Glance
What this means for you: Kentucky has OTPs across multiple regions, but many counties require travel for methadone care. Buprenorphine treatment and navigation assistance may offer additional paths.
Get Help Finding a Clinic in Kentucky
Need help exploring Kentucky treatment options?
Ask about medications, access, and ways to locate a program that fits your needs.
Call 1-(347) 591-7540For an overdose or medical emergency, call 911. For crisis support, call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MATClinicGuide.com is not a treatment provider. Calls reach our treatment-navigation line and may connect to participating providers or navigation partners.
Find MAT Clinics by City in Kentucky
The following directory covers 40 Medicare-enrolled opioid treatment program locations in Kentucky, organized by city. An OTP can provide methadone for opioid use disorder under federal and state oversight; other medication providers may operate outside this OTP listing.
Top cities for methadone clinics
Kentucky methadone OTP directory: 30 cities
Ashland — 2 OTPs
Ultimate Care Medical Services SAMHSA-certified OTP
3655 Winchester Ave, Ashland, KY 41101-2065
Crossroads Treatment Centers SAMHSA-certified OTP
1220 Greenup Ave, Ashland, KY 41101-7525
Berea — 1 OTP
Bowling Green — 1 OTP
Center for Behavioral Health Kentucky SAMHSA-certified OTP
1990 Louisville Rd, Ste 110, Bowling Green, KY 42101-1202
Campbellsville — 1 OTP
Corbin — 1 OTP
BHG SAMHSA-certified OTP
785 W Cumberland Gap Pkwy, Ste 3, Corbin, KY 40701-4822
Covington — 3 OTPs
Metro Treatment of Kentucky SAMHSA-certified OTP
2001 Madison Ave, Covington, KY 41014-1209
Elizabethtown — 1 OTP
Etown Addiction Solutions SAMHSA-certified OTP
2645 Leitchfield Rd, Ste 104, Elizabethtown, KY 42701-8306
Elsmere — 1 OTP
Frankfort — 1 OTP
Center for Behavioral Health Kentucky SAMHSA-certified OTP
2225 Lawrenceburg Rd, Bldg C, Frankfort, KY 40601-9128
Georgetown — 1 OTP
Georgetown Medical SAMHSA-certified OTP
105 Eastside Dr, Georgetown, KY 40324-9797
Glasgow — 1 OTP
Hazard — 2 OTPs
BHG SAMHSA-certified OTP
118 Grand Vue Plz, Ste 118, Hazard, KY 41701-6842
Henderson — 1 OTP
Hopkinsville — 1 OTP
Western KY Medical SAMHSA-certified OTP
609 Hammond Plz, Hopkinsville, KY 42240-4971
Independence — 1 OTP
Crossroads Treatment Centers SAMHSA-certified OTP
1974 Walton Nicholson Pike, Independence, KY 41051-7906
La Grange — 1 OTP
North Clark Medical Group SAMHSA-certified OTP
106 E Jefferson St, La Grange, KY 40031-1445
Lexington — 3 OTPs
New Vista Of The Bluegrass SAMHSA-certified OTP
201 Mechanic St, Lexington, KY 40507-1086
London — 1 OTP
Louisville — 4 OTPs
North Clark Medical Group SAMHSA-certified OTP
1211 W Broadway, Ste A, Louisville, KY 40203-2082
BayMark Health Services SAMHSA-certified OTP
4922 Poplar Level Rd, Louisville, KY 40219-1128
Crossroads Treatment Centers SAMHSA-certified OTP
1700 Cargo Ct, Louisville, KY 40299-1938
BrightView SAMHSA-certified OTP
9702 Stonestreet Rd, Ste 120, Louisville, KY 40272
Madisonville — 1 OTP
Nicholasville — 1 OTP
Owensboro — 1 OTP
Daviess Treatment Services SAMHSA-certified OTP
3032 Highway 144, Owensboro, KY 42303-0288
Paducah — 1 OTP
Paintsville — 1 OTP
Paris — 1 OTP
BrightView SAMHSA-certified OTP
2202 Martin Luther King Jr Blvd, Paris, KY 40361
Pikeville — 1 OTP
Richmond — 1 OTP
Center for Behavioral Health Kentucky SAMHSA-certified OTP
1018 Ival James Blvd, Ste C, Richmond, KY 40475-8281
Shelbyville — 1 OTP
CRC Health Treatment Clinics – Shelbyville SAMHSA-certified OTP
213 Midland Blvd, Shelbyville, KY 40065-7791
Somerset — 2 OTPs
Crossroads Treatment Centers SAMHSA-certified OTP
607 Clifty St, Somerset, KY 42503-1765
BrightView SAMHSA-certified OTP
30 Medpark Sq Dr, Ste 2 & 3, Somerset, KY 42503
Winchester — 1 OTP
Winchester Treatment Services SAMHSA-certified OTP
1300 W Lexington Ave, Winchester, KY 40391-1154
Suboxone, buprenorphine and Vivitrol providers in Kentucky
Suboxone doctors in Kentucky and other buprenorphine providers may practice in primary care, psychiatry, or addiction medicine settings. For medication assisted treatment in Kentucky beyond methadone OTPs, use FindHelpNowKY or FindTreatment.gov to search by area and treatment type.
Vivitrol Kentucky treatment options can include clinical programs that assess suitability for extended-release naltrexone; ask about the required opioid-free period and follow-up care.
OTP listings reflect the CMS Medicare enrollment file dated September 8, 2026. Call each program to confirm intake, hours, insurance and services.
MAT Treatment Options in Kentucky by Medication
Methadone treatment at Kentucky opioid treatment programs
Kentucky has 40 Medicare-enrolled OTP locations in the September 2026 CMS file, including four in Louisville, three each in Lexington and Covington, and two each in Hazard and Somerset. Methadone for opioid use disorder is provided through certified OTPs, with frequent visits often needed at the start. Take-home schedules depend on clinical assessment and applicable rules. Learn about methadone treatment and what an OTP does.
Buprenorphine and Suboxone in Kentucky
Buprenorphine may be prescribed by appropriately licensed clinicians outside an OTP, including in offices and certain telehealth settings when permitted. Kentucky residents can search FindHelpNowKY for treatment options and ask practices about availability, Medicaid participation, and follow-up visits. The former federal X-waiver requirement ended in 2023. Explore Suboxone and buprenorphine treatment.
Long-acting injectable buprenorphine: Sublocade and Brixadi
Sublocade and Brixadi are long-acting buprenorphine injections administered by qualified healthcare professionals. Kentucky patients can ask a medication provider whether either product is clinically appropriate, how initiation works, and whether their coverage applies. Availability and follow-up schedules vary by product and practice. Read about Sublocade and discuss all medication options with a clinician.
Naltrexone and Vivitrol in Kentucky
Extended-release naltrexone (Vivitrol) is another FDA-approved option for opioid use disorder. It blocks opioid effects rather than acting as an opioid agonist and requires a medically assessed opioid-free period before starting, because beginning too soon can trigger withdrawal. Kentucky Medicaid covers the OUD medication category under federal requirements; specific prescribing and billing arrangements should be confirmed. Learn about Vivitrol treatment.
| Medication | Where in Kentucky | Visits at start | Kentucky Medicaid |
|---|---|---|---|
| Methadone | Certified OTP | Often frequent | Covered |
| Buprenorphine / Suboxone | Office, clinic; telehealth where permitted | Based on care plan | Covered |
| Sublocade / Brixadi | Qualified administering clinician | Product-specific | Ask about product coverage |
| Naltrexone / Vivitrol | Appropriate clinical setting | Clinical evaluation first | Covered |
Methadone (OTP) Rules in Kentucky
Kentucky licenses opioid treatment programs, which also follow federal SAMHSA and DEA requirements under 42 CFR Part 8. Kentucky’s CMS-listed sites include locations in urban centers and regional hubs such as Paintsville, Corbin and Hopkinsville.
Intake and treatment planning
Ask a Kentucky OTP about initial assessment, identification, medication history, insurance information, and whether an appointment is required. The care team evaluates clinical needs before prescribing and develops an individualized plan. Counseling and support may be offered, but access to medication should not be described as contingent on completing counseling first.
Take-home doses, guest dosing and transfers
Federal rules revised in 2024 allow more flexibility in clinician-determined methadone take-home decisions; a Kentucky OTP must also follow applicable state standards. If you work irregular hours, live in a county without an OTP, or plan travel, ask about take-home eligibility, guest dosing and transfer arrangements. Treatment duration depends on individual needs.
Paying for MAT in Kentucky
Kentucky Medicaid and MAT clinics that accept Medicaid
Kentucky expanded Medicaid effective January 1, 2014. Federal Medicaid law requires coverage of methadone, buprenorphine and naltrexone for opioid use disorder. For MAT clinics that accept Medicaid in Kentucky, confirm whether a location participates in your coverage, how medications are billed and whether authorization is needed. The administering agency is the Kentucky Department for Medicaid Services within the Cabinet for Health and Family Services.
| Service | Covered | Notes |
|---|---|---|
| Methadone for OUD | Yes | Ask whether the OTP accepts your coverage |
| Buprenorphine for OUD | Yes | Product and pharmacy details may differ |
| Naltrexone for OUD | Yes | Confirm formulation and billing |
| Outpatient SUD services | Check plan | Confirm benefits with Kentucky Medicaid |
| Residential SUD services | Check plan | Confirm eligibility and any requirements |
Medicare
Medicare Part B has a benefit for services furnished through Medicare-enrolled OTPs, making the 40 listed Kentucky locations a useful starting point for methadone enquiries. Coverage for office-prescribed medications may involve Medicare Part D or other benefits depending on the medication and setting. Confirm copayments and network rules with the plan.
Private insurance
Private health plans may cover MOUD and related visits, but networks, formularies and prior authorization can differ. Ask a Kentucky clinic whether it is in network, which medication costs are separate, and whether the first appointment requires a referral.
No insurance or a tight budget
If you are looking for free methadone clinics in Kentucky or reduced-cost support, KY HELP can screen needs and direct you toward available treatment resources. Programs may have different eligibility rules. You can also ask about Medicaid eligibility or payment assistance rather than assuming an OTP provides free care.
Read insurance coverage basics, MAT cost information, or verify insurance.
Need help checking Kentucky treatment options?
Ask about medications, access, and ways to locate a program that fits your needs.
Call 1-(347) 591-7540For an overdose or medical emergency, call 911. For crisis support, call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MATClinicGuide.com is not a treatment provider. Calls reach our treatment-navigation line and may connect to participating providers or navigation partners.
Telehealth MAT in Kentucky
Telehealth Suboxone treatment in Kentucky may be possible when a clinician meets federal and state prescribing requirements. DEA/HHS federal controlled-medication telemedicine flexibilities are in effect through December 31, 2026; Kentucky may impose additional requirements, and future rules can change.
Telehealth may help someone in a Kentucky county without a listed methadone OTP connect with an eligible buprenorphine prescriber, but a virtual visit does not guarantee a prescription. Methadone for OUD remains dispensed through certified OTP arrangements, not as an ordinary telehealth prescription. See telehealth MAT guidance.
Opioid Overdose in Kentucky: Why Access Matters
Kentucky recorded 1,492 drug overdose deaths in 2024 and an age-adjusted all-drug overdose death rate of 33.5 per 100,000, compared with a national rate of 23.1 (CDC NCHS via KFF; USAFacts). The state rate fell from 55.6 in 2021, but treatment access remains important.
Kentucky’s opioid-involved overdose death rate was 23.4 per 100,000 in 2024, compared with 16.0 nationally. Naloxone can reverse an opioid overdose; it is not a substitute for emergency help or continuing care. Learn about overdose response and naloxone.
| Year | Kentucky all-drug rate | Kentucky opioid rate |
|---|---|---|
| 2019 | 32.5 | 24.6 |
| 2020 | 49.2 | 40.2 |
| 2021 | 55.6 | 44.8 |
| 2022 | 53.2 | 41.8 |
| 2023 | 48.0 | 38.1 |
| 2024 | 33.5 | 23.4 |
Areas of Kentucky with Limited MAT Access
The September 2026 CMS file lists an OTP in 27 of Kentucky’s 120 counties, leaving 93 without a listed Medicare-enrolled OTP. These nearby city suggestions are starting points, not confirmed shortest routes: check travel time, program availability and transportation before making plans.
Far Eastern Kentucky and the coalfields
Counties and communities: Harlan, Letcher, Bell, Floyd, Knott, Breathitt, Leslie, Clay, Martin and Magoffin.
Nearby OTP cities to investigate: Hazard, Pikeville, Paintsville, Corbin and London.
Northeast Kentucky and Ohio River communities
Counties and communities: Boone, Campbell, Grant, Mason, Greenup, Carter, Rowan, Lewis and Fleming.
Nearby OTP cities to investigate: Covington, Elsmere, Independence, Ashland, Winchester and Paris.
Central Kentucky beyond the major metro areas
Counties and communities: Bullitt, Nelson, Boyle, Mercer, Woodford, Anderson, Garrard, Lincoln and Marion.
Nearby OTP cities to investigate: Louisville, Lexington, Frankfort, Nicholasville, Berea, Elizabethtown and Campbellsville.
South-central Kentucky
Counties and communities: Wayne, Russell, Adair, Clinton, Cumberland, Monroe, Allen, Simpson and Logan.
Nearby OTP cities to investigate: Somerset, Glasgow, Campbellsville and Bowling Green.
Western Kentucky and the Jackson Purchase
Counties and communities: Graves, Calloway, Marshall, Trigg, Caldwell, Muhlenberg, Ohio, Union, Webster, Ballard and Fulton.
Nearby OTP cities to investigate: Paducah, Hopkinsville, Madisonville, Henderson and Owensboro.
For areas without convenient methadone access, consider discussing office-based buprenorphine and eligible telehealth care with a clinician. FindHelpNowKY and KY HELP (1-833-859-4357) can assist with finding Kentucky treatment options and support services.
Kentucky Resources & Helplines
Kentucky DBHDID
Kentucky Department for Behavioral Health, Developmental and Intellectual Disabilities oversees behavioral health services. Agency website.
KY HELP Statewide Call Center
1-833-859-4357 · Weekdays 7 a.m.–10 p.m. ET; weekends 8:30 a.m.–5:30 p.m. ET. After-hours assistance: 1-800-854-6813.
FindHelpNowKY
Search treatment facilities, recovery housing, naloxone, mental health care and social services: FindHelpNowKY.org.
Naloxone and overdose laws
Find naloxone at FindNaloxone.ky.gov. Kentucky law KRS 217.186 addresses good-faith naloxone assistance; KRS Chapter 218A includes certain overdose-help protections.
Kentucky’s Good Samaritan protections for seeking overdose help concern certain drug possession and use charges, not outstanding warrants, probation or parole violations, or other crimes. Tell 911 if you believe someone is overdosing. Naloxone is also sold over the counter.
MAT for Special Populations in Kentucky
Pregnant and postpartum people
Kentucky residents who are pregnant or postpartum should ask for prompt assessment from a clinician experienced in opioid use disorder and pregnancy. Methadone and buprenorphine can be treatment options when clinically appropriate; do not stop medication abruptly without medical guidance. KY HELP can help identify treatment resources in the state.
Veterans
Veterans in Kentucky can ask VA clinicians about evidence-based OUD medication treatment and coordination with community care. Location-specific VA medication services should be confirmed with the relevant VA facility, and Kentucky OTP listings can help locate community methadone options.
Adolescents and young adults
Young Kentucky residents and families can use KY HELP to ask which services assess adolescents or young adults and what consent or guardian requirements apply. Treatment plans depend on age, medical needs and clinician judgment. Support a loved one with respectful, practical help.
People leaving jail or prison
Continuity of opioid-use-disorder medication after release can be especially important. People returning to Kentucky communities can ask a discharge planner or KY HELP about appointments, insurance and transportation. Planning medication continuity before release may prevent interruption of care.
Rural residents
Kentucky has 93 counties without a Medicare-enrolled OTP in the September 2026 listing. For a rural resident, the practical choice may involve travel to a regional OTP or evaluation with an office-based buprenorphine clinician; FindHelpNowKY also helps locate recovery housing and support services.
How to Choose a MAT Clinic in Kentucky
Choose a Kentucky MAT provider based on the medication you need, clinical fit, accessibility and accepted insurance. A methadone OTP and an office-based buprenorphine clinician offer different services, so ask questions specific to the treatment setting.
Questions to ask a methadone OTP
- Does your Kentucky location currently accept new patients?
- What is the intake and initial dosing process?
- What are the dosing hours and weekend arrangements?
- Do you accept Kentucky Medicaid or my insurance plan?
- How are take-home doses, guest dosing and transfers assessed?
Questions to ask a buprenorphine provider
- Do you prescribe buprenorphine for opioid use disorder?
- Are in-person or permitted telehealth appointments available?
- What medication forms and follow-up visits do you offer?
- Can you confirm pharmacy access, insurance and out-of-pocket charges?
- What support is available for pregnancy, co-occurring conditions or transportation needs?
What happens at the first visit
- Describe your current opioid use, goals, medications and health history.
- Receive an individualized clinical assessment and discuss treatment choices.
- Review medication start plans, safety, insurance and follow-up arrangements.
- Ask for naloxone guidance and any needed support or referrals.
Learn about MAT and MOUD terms and medication and counseling.
Need help comparing Kentucky clinics?
Ask about medications, access, and ways to locate a program that fits your needs.
Call 1-(347) 591-7540For an overdose or medical emergency, call 911. For crisis support, call or text 988. SAMHSA National Helpline: 1-800-662-4357.
MATClinicGuide.com is not a treatment provider. Calls reach our treatment-navigation line and may connect to participating providers or navigation partners.
FAQs About MAT Clinics in Kentucky
How many methadone clinics are in Kentucky?
The CMS Medicare OTP provider file dated September 8, 2026 lists 40 OTP locations in 30 Kentucky cities. Louisville has four listed locations, Lexington and Covington each have three, and several smaller cities have one or two. These are Medicare-enrolled OTP locations, not a count of every possible treatment service.
Does Kentucky Medicaid cover Suboxone?
Yes. Federal Medicaid requirements include coverage of buprenorphine for opioid use disorder, and Kentucky Medicaid administers the state program. The precise formulation, pharmacy network and authorization process can vary. Ask the prescriber and Kentucky Medicaid to confirm coverage for your circumstances.
Where are the methadone clinics in Louisville, Kentucky?
Four Medicare-enrolled OTP locations are listed for Louisville in the September 2026 CMS file: North Clark Medical Group, BayMark Health Services, Crossroads Treatment Centers, and BrightView. Their addresses and contact information appear in the Louisville accordion above; call the location about admission and dosing.
Are there free methadone clinics in Kentucky?
Kentucky’s KY HELP statewide call center can help people without insurance or with limited financial resources explore treatment and related assistance. Call 1-833-859-4357. Whether any particular methadone clinic offers free services depends on eligibility, funding, and the program’s payment policies.
Can I get telehealth Suboxone in Kentucky?
Telehealth buprenorphine prescribing may be available if the clinician follows federal and applicable Kentucky requirements. Federal DEA/HHS telemedicine flexibilities currently extend through December 31, 2026. A telehealth evaluation does not guarantee a prescription; ask providers about required visits and pharmacy arrangements.
Is Vivitrol available for opioid use disorder in Kentucky?
Vivitrol is an FDA-approved extended-release naltrexone option that may be offered by qualified clinicians in Kentucky. It requires an appropriate opioid-free period before initiation to reduce the risk of precipitated withdrawal. Use FindHelpNowKY or FindTreatment.gov and ask programs about medication availability.
Which Kentucky counties do not have a methadone OTP?
The September 2026 Medicare OTP directory includes locations in 27 of Kentucky’s 120 counties; the remaining 93 have no listed location. Examples include Harlan, Letcher, Boone and Graves counties. Residents can examine nearby OTP cities and office-based buprenorphine treatment when appropriate.
Where can I get naloxone in Kentucky?
Kentucky has an online locator at FindNaloxone.ky.gov and resources through FindHelpNowKY.org. Naloxone is also available over the counter. If an overdose is suspected, call 911, give naloxone if available and follow emergency instructions. Kentucky law includes certain protections for people seeking help.
What number can I call for Kentucky addiction treatment referrals?
Call the KY HELP Statewide Call Center at 1-833-859-4357. The hours listed in the source information are weekdays 7 a.m. to 10 p.m. ET and weekends 8:30 a.m. to 5:30 p.m. ET. An after-hours resource number is 1-800-854-6813.
What is the difference between an OTP and a Suboxone doctor in Kentucky?
An OTP is a certified program that may dispense methadone for opioid use disorder. A qualified clinician may prescribe buprenorphine in an office or certain telehealth settings, subject to rules. Kentucky has 40 Medicare-enrolled OTP locations in the current listing, while office-based services are found through treatment search resources.
Sources, Methodology & Editorial Standards
- CMS, Opioid Treatment Program Providers (September 8, 2026)
- Kentucky Cabinet for Health and Family Services, FindHelpNowKY launch (March 2024)
- WKYT, KY HELP hours (January 2024)
- Kentucky naloxone access and Good Samaritan information
- KFF, Medicaid expansion status (October 2026)
- KFF, opioid and drug overdose death rates (2024 data)
- USAFacts, Kentucky overdose deaths (2024)
- Kentucky Department for Medicaid Services
- Kentucky DBHDID
Clinic listings are drawn from the September 8, 2026 CMS Medicare Opioid Treatment Program enrollment file and grouped by city. Names are made readable without changing the underlying listed addresses and phone numbers. The directory is an educational starting point; MATClinicGuide.com does not own or operate the listed clinics. Information is not individualized medical advice or an endorsement.
MATClinicGuide.com is an educational and treatment-navigation resource, not a healthcare provider. Calling our helpline connects you to the MATClinicGuide treatment-navigation line, not directly to a directory-listed clinic. Calls may be answered by or routed to participating treatment providers or navigation partners. Confirm services directly with clinics; for emergencies call 911, or call/text 988 for crisis support.
Read our editorial policy, medical disclaimer and referral disclosure.
MAT Clinics in Nearby States
Kentucky borders seven states. Compare treatment resources across state lines if care closer to home is difficult to find, while checking insurance and program requirements.